K86.0
BillableAlcohol-induced chronic pancreatitis
HCC Category Mapping
V28HCC 79 — Chronic Pancreatitis
0.000V24HCC 34 — Chronic Pancreatitis
0.233ESRDHCC 34 — Chronic Pancreatitis
0.000RxHCCHCC 65 — Chronic Pancreatitis
0.000What This Code Means
Long-term inflammation of the pancreas caused by alcohol use, leading to permanent damage and loss of pancreatic function.
Coding Tips
- •Always link to alcohol use disorder codes (F10.x) to document the underlying cause
- •Distinguish from acute pancreatitis; this code indicates chronic/permanent changes
Clinical Significance
Alcohol-induced chronic pancreatitis represents irreversible pancreatic damage from chronic alcohol use, leading to exocrine and endocrine pancreatic insufficiency. This condition requires pancreatic enzyme replacement and diabetes management with ongoing addiction treatment.
Documentation Requirements
- ✓History of chronic alcohol use (typically >5 drinks/day for >5 years)
- ✓Imaging showing pancreatic calcifications, atrophy, or ductal changes
- ✓Clinical evidence of exocrine pancreatic insufficiency
- ✓Recurrent abdominal pain episodes
- ✓Evidence of pancreatic fibrosis or parenchymal damage
- ✓Development of diabetes mellitus (pancreatic)
- ✓Steatorrhea or malabsorption symptoms
- ✓Response to pancreatic enzyme replacement therapy
Excludes 2 — Not included here, may code separately
- alcohol induced acute pancreatitis (K85.2-)
Use Additional Code
- code to identify:
- alcohol abuse and dependence (F10.-)
Code Also
- exocrine pancreatic insufficiency (K86.81)
Commonly Confused Codes
K86.1 — Other chronic pancreatitis when alcohol not the causeK85.9 — Acute pancreatitis unspecified for acute episodesE10.9 — Type 1 diabetes when pancreatic diabetes developsF10.20 — Alcohol use disorder should be coded additionallyK90.3 — Pancreatic steatorrhea as complication rather than primary diagnosis
Code Hierarchy
└K86Other diseases of pancreas└K86.0Alcohol-induced chronic pancreatitis
└K86.0Alcohol-induced chronic pancreatitis